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Drug interactions

Amantadine + Lurasidone

Severity: Moderate

Amantadine and Lurasidone: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Lurasidone blocks dopamine D2 receptors and can counteract the dopaminergic antiparkinsonian effect of amantadine, worsening parkinsonian symptoms. Conversely, amantadine's dopaminergic action may in theory aggravate psychosis.

What this interaction means in plain words

Amantadine and Lurasidone can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Amantadine belongs to Anti Virals; Lurasidone belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Pharmacodynamic antagonism between D2 receptor blockade and dopaminergic enhancement.

What to do

Monitor motor symptoms and psychiatric status when combining. Use the lowest effective lurasidone dose, or consider a lower-D2-affinity antipsychotic in parkinsonian patients.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Amantadine with Lurasidone?

MediHelp rates the interaction as moderate. Amantadine and Lurasidone can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Lurasidone blocks dopamine D2 receptors and can counteract the dopaminergic antiparkinsonian effect of amantadine, worsening parkinsonian symptoms. Conversely, amantadine's dopaminergic action may in theory aggravate psychosis.

How serious is the interaction between Amantadine and Lurasidone?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor motor symptoms and psychiatric status when combining. Use the lowest effective lurasidone dose, or consider a lower-D2-affinity antipsychotic in parkinsonian patients.

What other medicines interact with Amantadine?

MediHelp also lists interactions of Amantadine with, for example, Ethanol, Memantine-donepezil, Metoclopramide. The full list is on the Amantadine page.

Full monographs, dosing and an interaction checker in the MediHelp app

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